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General NPI Number Information
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NPI Number | 1891325429
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Entity Type | Individual
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Provider Name | INDIRA LUESO CLAPES
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 13500 SW 88TH ST UNIT 285
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City | MIAMI
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State | FL
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Zip | 33186-1515
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Country | US
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Telephone | 786-409-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 17041 SW 119TH AVE
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City | MIAMI
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State | FL
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Zip | 33177-2115
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Country | US
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Telephone | 786-915-7007
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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